Provider Demographics
NPI:1760609135
Name:CHAE, PATRICK MOUNGJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:MOUNGJIN
Last Name:CHAE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 3000
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-987-3100
Mailing Address - Fax:212-731-5210
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-5900
Practice Address - Fax:212-241-8866
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2019-02-27
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Provider Licenses
StateLicense IDTaxonomies
NY228579207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
88841PA111Medicare PIN